| NPI | 1639930126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 078431-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 078431-21) |
| 163W00000X Registered Nurse (Licence: MA RN2322580) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2322580) | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2025-11-10 |